CQMsolution, eCQM quality measure calculation, quality measure logic, interoperability, quality measure solution, Meaninful Use

CQMsolution® from Dynamic Health IT is a user-friendly, browser-based application for calculating, displaying, and generating clinical quality measure output. The software has received the latest ONC certification (2015 Edition Cures Update), compatible with Cypress CQMsolution® supports all eCQMs, an expanding roster of non-eCQM MIPS measures. and Hospital Quality Reporting Program eCQMs (IQR and EHR).

Hospital Quality Reporting (HQR) Program

Under the Inpatient Prospective Payment System (IPPS), CMS gives hospitals a financial incentive to track and report quality measures. Hospitals that do not participate or fail to meet requirements will see reduced reimbursement.

Hospital Quality Reporting to CMS encompasses the Inpatient Quality Reporting (IQR) Program and the Medicare and Medicaid Promoting Interoperability programs for Eligible Hospitals and Critical Access Hospitals.


What is required?

In CY 2020, the EHR reporting period is a minimum of any continuous 90-day period for new and returning participants in the Medicare Promoting Interoperability Program attesting to CMS.


For the CY 2020 EHR reporting period, eligible hospitals and CAHs submit one, self-selected calendar quarter of data for four self-selected eCQMs from the Promoting Interoperability Program CQM measure set. CMS reduced the eCQM measure set from 16 eCQMs to 8 eCQMs. 

In addition:

  • Data must be collected in 2015 Edition certified EHR technology

  • EHR must be certified for all eCQMs available to report for the CY 2020 EHR reporting perio


What measures fit your hospital?

With the latest ONC certification, CQMsolution is the ideal tool to satisfy eCQM reporting requirements. CQMsolution outputs QRDA I files specifically formatted for submission to QualityNet.


For additional information, please visit the QualityNet eCQMs Overview page.

2020 ORYX® Performance Measurement Program
Joint Commission Measures

TJC & HQR removed measures.png

Joint Commission

In 2020, accredited hospitals will submit both electronic clinical quality measure (eCQM) and chart-abstracted measure data via The Joint Commission’s Direct Data Submission Platform (DDSP). In 2019, all hospitals transitioned to DDSP for submission of eCQM data annually, and in 2020 chart-abstracted aggregate data will be submitted via the DDSP on a quarterly basis.


Dynamic Health IT (DHIT), prior authorized ORYX® vendor, which enabled us to assist our clients with reporting eCQMs as part of the overall hospital accreditation process.

As a Data Submission vendor, not only can we calculate and compile eCQMs from your EHR data but we can electronically submit for you. CQMsolution supports all eCQMs for the latest edition of ONC Certification -- and that includes 8 eCQMs submitted to The Joint Commission (JHACO).

What is required?

ORYX® is an initiative that incorporates performance measurement data into the accreditation process. To be in compliance with Joint Commission's 2019 ORYX eCQM Reporting requirements, your hospital must do the following:


Hospitals with an ADC > 10 

  • Report a minimum of four (of 10 available) eCQMs for one self-selected calendar quarter via DDSP.

  • Hospitals providing obstetrical services report via DDSP on one required chart-abstracted measure — perinatal care (PC) measure PC-01.

  • Hospitals with at least 300 live births per year — in addition to PC-01 — report via DDSP on all chart-abstracted PC measures (PC-02, PC-05, and PC-06).


Critical Access Hospitals (CAHs) and Small Hospitals (ADC ≤ 10) 

  • Report on a choice of three available measures (chart-abstracted or eCQMs

  • These hospitals remain exempt from the requirement to submit data to The Joint Commission. If data are not submitted, the organization is required to make data reports available for review by surveyors during on-site surveys.

Freestanding Psychiatric Hospitals 

  • Report via DDSP on the four required hospital-based inpatient psychiatric services (HBIPS) measures (HBIPS-1, HBIPS-2, HBIPS-3, and HBIPS-5).


Suspension of requirements continue for freestanding children’s hospitals, long term acute care hospitals, inpatient rehabilitation facilities. 

What measures fit your hospital?

CQMsolution is certified on 8 eCQMs submitted to The JCAHO. 


Attention hospitals:  Verify your EHR is meeting ONC 2015 Edition Cures Update EHR certification requirements 170.315(g)(7-9).  If you have not upgraded or they do not meet the criteria, we have you covered with Dynamic FHIR API.